Adhere to the Medicare requirements and bundling rules for SNF coverage payment. If you don’t work in a skilled nursing facility (SNF), you may not understand how SNF consolidated billing (CB) affects you. The way you answer the following two questions may help you to see the connection: Have you ever had a Medicare patient ...
2019 HCPCS Level II changes are comprehensive this year, and the code set includes several new modifiers as well as codes. The Centers for Medicare & Medicaid Services (CMS) released them November 6. HCPCS General Talley The 374 changes are broken down this way: 228 new codes and modifiers 49 discontinued codes and modifiers 95 changed ...
Utilization, new codes, device pass-through, and 340B payment policies top the changes in the Centers for Medicare & Medicaid Services’ (CMS) Outpatient Prospective Payment System (OPPS) final rule for 2019. Cutting OPPS Costs CMS said in a fact sheet with the long-winded title of “CMS finalizes Medicare Hospital Outpatient Prospective Payment System and Ambulatory Surgical ...
The ICD-10-CM Official Guidelines for Coding and Reporting is effective Oct. 1 through Sept. 30. That means the updated guidelines for fiscal year 2019 have been in effect for a month, already, by the time this issue makes it to your mailbox (or inbox). Changes include a new coding guideline in the Coding Guidelines section; ...
Comments Off on Behind the Scenes: The Making of CPT®
Updating CPT® every year is a job for the CPT Editorial Panel, many stakeholders, and you. CPT® is the most widely accepted procedural coding medical nomenclature used across the country. For more than 50 years, physicians and other healthcare professionals have relied on the CPT® code set to communicate with colleagues, patients, hospitals, and insurers ...
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